针刺联合穴位贴敷治疗腹泻型肠易激综合征的临床研究

徐丹; 杨家耀; 石拓

doi:10.3969/j.issn.1671-038X.2015.05.07

针刺联合穴位贴敷治疗腹泻型肠易激综合征的临床研究

- 武汉市第一医院消化科, 武汉 430000
基金项目:
国家中医药管理局《杜健民全国名老中医药专家传承工作室》项目资助

详细信息

作者简介:
徐丹,女,医师,硕士,主要从事中西医结合消化系统疾病临床研究

通讯作者: 徐丹,E-mail:xudanyx1@126.com

中图分类号: R574

收稿日期: 2014-11-30

Clinical study on acupuncture with acupoint sticking treating IBS with diarrhea

- Department of Gastroenterology, The First Hospital of Wuhan, Wuhan 430000, China

More Information

Corresponding author: XU Dan, E-mail: xudanyx1@126.com

Received Date: 30 November 2014

摘要

摘要: [目的]观察针刺联合穴位贴敷治疗腹泻型肠易激综合征(IBS-D)的临床疗效。[方法]将80例患者随机分成2组,治疗组给予针刺及穴位贴敷治疗,对照组给予美常安及得舒特口服,疗程为4周,观察2组疗效,并随访半年后的疗效。[结果]治疗后,治疗组总有效率为87.8%,对照组总有效率为69.2%,治疗组的疗效优于对照组,差异有统计学意义(P＜0.05)。主要症状疗效上,在大便次数及大便性状上治疗组疗效优于对照组,差异有统计学意义(P＜0.05),在腹痛或腹部不适上2组疗效相当,差异无统计学意义。半年后随访32例患者,其中治疗组18例,复发4例(复发率22.2%);对照组14例,复发6例(复发率42.9%),但2组间差异无统计学意义。[结论]针刺联合穴位贴敷治疗腹泻型肠易激综合征较西药疗效显著,且远期疗效值得肯定。
- 针刺 /
- 穴位贴敷 /
- 腹泻型肠易激综合征
Abstract: [Objective] To observe the clinical effect of acupuncture with acupoint sticking in treating irritable bowel syndrome with diarrhea.[Methods] Eighty patients were randomly divided into two groups.The treatment group were given acupuncture and acupoint sticking therapy,and the control group were given oral pills of hay duplex living bacterium and pinaverium bromide.4 weeks was one treatment course,then observe the clinical effect and the recurrence rate after six months of follow-up between the two groups.[Results] The treatment group total effectiveness was 87.8%,the control group total effectiveness was 69.2%.There were significant differences between two groups(P＜0.05).Among the main symptoms,the treatment group is better than control group on the curative effect on the defecate frequency and traits,and there were no differences between the two groups of abdominal pain or discomfort.Following-up after six months of 32 patients,among the 18 cases of treatment group,4 cases relapse(recurrence rate was 22.2%),and 14 cases of control group,6 cases relapse(recurrence rate was 42.9%),but there were no statistical significant differences between two groups.[Conclusion] Acupuncture with acupoint sticking therapy of IBS with diarrhea is better than the medicine curative effect,which has the long-term effect.
- Acupuncture /
- acupoint sticking /
- irritable bowel syndrome with diarrhea

HTML全文

参考文献(4)

[1]	LOVELL R M,FORD A C.Global prevalence of and risk factors for irritable bowel syndrome:a meta-analysis[J].Clinical gastroenterology and Hepatology,2012,10:712-721.
[2]	LIU J S,HOU X H.A review of the irritable bowel syndrome investigation on epidemiology,pathogenesis and pathophysiology in China[J].Journal of gastroenterology and Hepatology,2011,26:88-93.
[3]	李勤,丰芬,李源.肠易激综合征的流行病学研究近况[J].湖南中医杂志,2014,3(30):143-144.
[4]	FRANCIS C Y,MORRIS J,WHORWELL P J.The irritable bowel senerity scoring system;a simple method of monitoring irritable bowel syndrome and its progress[J].Aliment Pharmacol Ther,1997,11:395-402.